Outcomes of patients undergoing cardiac surgery at Mt View Medical Center by Dr. Robert Poston. Dataset includes 215 patients that underwent surgery between 5/17 until 5/18, just prior to Dr. Poston leaving to join Downstate University.

1. Major CT Surgery cases 5.1.17 through 4.30.18 Apr-18
5.1.17 -
4.30.18
Trend Notes
Total Major CV Cases 20 215
Elective 9 108
Urgent 10 100
Emergent 1 7
Case type
Robotic 9 110 
CPB
Full 16 107 About 49.8% of cases are on full bypass
Combo 0 30 About 14% of cases are pump assist
None 4 78  About 36.3% of cases are off pump
Approach
Full sternotomy 7 79 About 37% of cases had a full sternotomy
Mini Thoracotomy 13 136 About 63% of cases required only a mini thoracotomy
Procedure Type
AVR 3 21 There were a total of 34 aortic valves in this 12 month span
AVR+CABG 1 9
CABG Only 12 156
MV Repair/Replace 3 15
Other 1 14
Total CT surgery cases 20 215
LOS (Days)
Overall LOS 10 9.8  (Days)
Admit to surgery 3.9 2.3 (Days)
Surgery to D/C 6.1 7.4  (Days)
CABG overall LOS 10.2 9.3  (Days)
Valve overall LOS 11.1 10.5 x (Days)
Avg. ICU LOS (hours) 144 135 x (Hours)
Avg. IMC LOS (hours) 76.2 82.8 (Hours)
In Hospital Events
Afib 4 46 
18-24 Post Op BGL Peak 143 178  Benchmark goal 180 or less
24 hour Pre Op BB CABG 100% 81.1% x STS 89.9%
Average Vent Time (Hours) 24 13.7  4 outliers >280 hours removed
OR Extubations 7 66  30.7% of cases are extubated in the OR
OR Time 6.6 5.7 Time in hours from OR entry to OR exit
Cut Time 5 4 Time of primary surgical incision to incision close
Disposition (ALL patients)
Rehab/LTAC 5 56 x About 26% of cases are discharged to rehab (STS avg 17.6%)
Home 8 142 x About 66% of cases are discharged home (STS avg 78.5%)
Nursing home 0 3  About 1.4% of cases require a nursing home (STS avg 2.7)
Remaining Inpatient 6
Inpatient Death 1 7
Readmission 0 31 x About 14.4% readmission rate (STS avg 10%)
Infections
Deep sternal 0 1
Primary incision superficial 0 8
Harvest conduit site 0 9
Cannulation site 0 4
Other 0 1
Risk Based on 201 STS Risk Stratifiable Cases
0-5% Mortality Risk 15 174 About 86.6% of cases are 5% or < mortality risk
5.1-7.0% Mortality Risk 2 9 About 4.5% of cases are between 5.1-7.0% mortality risk
7.1%-10.0 Mortaltiy Risk 1 2 About 1% of cases are between 7.1-10% mortality risk
10.1-20% Mortality Risk 1 14 About 6.9% of cases are between 10.1 and 20% mortality risk
20% and greater Mortality Risk 19 2 About 1% of cases are 20% or > mortality risk
STS (Risk Stratifiable Cases) Actual Pred Trend Based on 201 STS Risk Stratifiable Cases
Prolonged vent 14.4% 11.7% x 29 Patients were vented >24 hours
ReOp 2.0% 3.8%  4 Patients went for ReOp
Stroke 0.0% 1.3%  0 Patients sufffered a permanent stroke
RF 3.5% 2.7% x 7 Patients experienced RF.
Deep sternal infection 0.5% 0.3% x 1 Patient experienced a deep sternal infection
Morbidity/ Mortality 15.4% 16.4%  31 Patients experienced either a single morbidity or was a mortality
Mortality (w/in 30 days) 3.5% 3.1% x 7 Patients passed away w/in 30 days of sugery (STS risk cases)
MVRMCCardiothoracicSurgeryDashboardMay1,2017throughApril30,2018
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